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330848 10/09/18 y CITY OF CARMEL, INDIANA VENDOR: 365288 ONE CIVIC SQUARE KURTIS BAUMGARTNER �� CHECK AMOUNT: S*******,125.92* 'i,• 4. CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 330848 9.y���TON,�:d; WESTFIELD IN 46074 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 REIMB 75.92 TRAVEL FEES & EXPENSE 1091 4344100 REIMB 50.00 CELLULAR PHONE FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 365288 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Baumgartner, Kurtis Payee 16930 Kingsbridge Blvd Westfield, IN 46074 In Sum of$ Purchase Order# 365288 Baumgartner, Kurtis Terms $ 125.92 16930 Kingsbridge Blvd Date Due Westfield, IN 46074 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center PO#ornvolce Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1091 Reimb 4343000 $ 75.92 Board Members 9/28/18 Reimb Travel Expenses NRPA Conference $ 75.92 1091 Reimb 4344100 �+$ 50.00 10/1/18 Reimb Cell Phone Reimbursement Sep'18 $ 50.00 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except $ 125.92 Total $ 125.92 October 1,2018 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature ,20 Accounts Payable Coordinator Clerk-Treasurer Title Carmel * Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense 9/25/2018 Circle Center Mall 1091 4343000 Travel Fees&Expenses $ 18.00 NRPA Conference 9/25/2018 Conner's Restaurant 1091 4343000 Travel Fees&Expenses $ 25.71 NRPA Conference 9/25/2018 Subway 1091 1 4343000 Travel Fees&Expenses $ 10.21 NRPA Conference 9/26/2018 Circle Center Mall 1091 4343000 Travel Fees& Expenses $ 22.00 NRPA Conference All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. -T TOTAL: $75.92 Employee Name(print) Kurtis Baumgartner G Address 16930 Kingsbridge Blvd. OCTCheck - 1 2018 payable to: City, St, Zip Westfiel N 46074 Y: ...... ............. Signature: Approved by: Date: 9/28/2018 Date: f a l (I Lr7 Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request Indianapolis Marriott Downtown circle center Mall 49 Maryland St Conner's Restaurant Indianapolis, IN 46204 TABLE# 41/5 Indianapolis, Indiana SERVER 1075/Bree F/C #12 A Payment No-00029344 CHECK# 4887 1075 Bree T/D #40 Ticket No.006168 -------------------------------- Cashier. ID #188 2018/09/25 12:19:11 4 7 /5 CHK 4887 GST 1 Entry Time 9/25/2018 (Tue) 8:18 ----- -8 1146AM Paid Time 9/25/2018 (Tue) 17:42 Authorize --------------------------------- Parking Time 9:24 Parking Fee Rate A $18. 429016792 1 Soda 3.00 00 MERC ID:0010600008030 REF No:' 92516.19.11. CHIP 1 Mac & Cheese 16.00 VISA CT No: ****** *****6222 Account # *****************************6222 EXP: XX/XX Subtotal . .. .. 19.00 Slip # 12142 CARD: VISA Tax .. . .. . .. . . 1.71 014217 CheckNo:4887 Total-Due -.:-20 e--71 Auth Code TableNo:41/5 CREDIT CARD AMOUNT $18.00 Cash Amount $0.00 Subtotal: USD20.71 _0, ***NOT A CREDIT CARD VOUCHER*** Total $18.00 Tip: — Thank You and Have a Nice Day! Total: 25.71 GRATUITY World Garage Booth 12 r, TOTAL APPROVAL CODE, 11 -12 - PRINT NAME - X SI ATURE SIGNATURE .CUSTOMER COPY ROOM NUMBER Subwa!6'4388'7.-() Ftiorie 317-896-8960 212: WE:,;': 161st Street WI':3t:'f E Id., Ind'kana, .46074 ... . Ser<<ec by: 13 9/2,q',018 7:26:25 pm Term I'll--Tra.ns# 1;A-.203390 -- -- -. : - . _-.. Qty Size Tti::T] Price = •1 12" St:!ak ,' Chs'e Suh 7.99 Circle Center Mall '' C10''ki.' 1 .38 46 Maryland St Sub Tc tial Indianapolis, In 46204 9:37 General ";3aT s T,,j< (, ;19G;� 0.84 F/C #08 A Payment No.00012305 Total (Eat :In) 10.21 T/D #40 Ticket No.006702 CrEdit Card 10.21 Cashier ID #107 Cha 19E 0.00 Entry Time 9/26/2018 (Wed) 10:32 Tell LIS abE ui: !tujr iirlis it I) SiJEIWAU 46867 Paid Time 9/26/2018 (Wed) 22:55 Please, contau:t Parking Time 12:23 Eva Lebi - iai:ol-e Manager 317-.896-8960 Parking Fee Rate A $22.00 A Ph ro ,;j.l IJ,�: 09,261 RE fererl t No: Ei;i'.(iE3;?;3`:3013911 VISA Carr) l:,Esu::r. 111�sa Account # *****************************6222 Account Ni7: 14:k:14*6222 Slip # 04868 Acgi..ri rid: Ccinta(rl:,-E:MV Auth Code 005522 tirrlou'r:: ;61(1,21 CREDIT CARD AMOUNT $22.00 API)licat i:)Ii U1aE1 I:1E1131T Cash Amount $0.00 A1 11): AC1000O�1)031010 _ T VR: 131DE;100(K-1000 Total _ =22.00 T;31 6200 Thank you and Have a Nice Day! Da.tE.,�Tin;: 9�;'Gi;121016 7:26:19 PM World Garage Booth 8 C.13TOMER COPY Host C rder,:I(1': i;i�� dOt;,=;:3424fi9Ei Hun@ry- for mora"? Let Lis Iknow how we didl today by t,alk'ing ]ur 1 rntlnuut:e! survey at www.subr�a�yl istl;uir.rraa„ irnd receive a Subpri St, offer 't) lj,so wi I.'h )nn.ir next purcha.Se. Carmel 9 Cray Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense September Cell 10/13/2018 AT&T 1091 4344100 Cellular Phone Fees $ 50.00 Reimbursement JAIIipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $50.00 Employee Name(print) Kurtis Baumgartner Check Address 16930 Kingsbridge Blvd. payable to: City, St, Zip e%ftld. IN 46074 Signature: Approved by: Date: 10/1/2018 Date: �- Business Services Division,Revised 7-7-08 FILE: Shared\Forms\Business Services\Employee Exp Reimb Request